COMMONLY MADE MISTAKES
?. Waving the needle in front of the patient. It is
important from the behavior management point of
view to place the needle and other instruments behind
? The needle should be kept out of the direct
vision of the child.
?Not getting supportive control of the patient’s head
and hands. It is difficult and dangerous to administer
anesthesia or perform any treatment on a child who
? So adequate reinforcement to restrict
the movements of the head and the extremities is
necessary so as to avoid complications.
?. Using long needles. Depth of penetration of a needle
is very less compared to that in adults. Use of short
needles will ensure that the needle does not extend
into deeper tissues.
?using inappropriate doses.
?Young’s rule or Clarke’s
rule can be used while deciding the appropriate dose
for a child patient.
?Fast injection: Care must be taken for slow
administration of the solution.
? Time should be
allowed for slow dispersion of the solution into the
?Ideal rate of deposition is about 1ml/min,
preceded by application of topical anesthesia and
aspiration to avoid intravascular injection.
? Not advising patients or parents regarding the post
anesthesia side effects.
? Children should be strictly
told not to bite their lips or cheek until the effects
?Parents should be told to supervise this
?Children usually tend to chew on the lips
as it does not cause pain and feel like chewing gum
and this can lead to severe laceration that can lead to